Process Associate - Mohali, Punjab, India - i3synergist
Description
This is a work from office position only.
- Maximize insurance reimbursement for providers Must have work experience of Physician Billing process.
- Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions.
- Interact with the USbased insurance carriers to followup on submitted claims, monitor unpaid claims, delayed processing, and underpayment plan, and execute medical insurance claim denial appeal process.
- Must have work experience in Personal Injury and Workers Comp AR. Comfortable talking to attorney and adjustors.
- Must be proficient in denial management and appeal process.
- Must have excellent documentation skills for maintaining SOPs/guidelines/notes.
- Review EOB/ERA denials and Patient history notes to understand and resolve denial on a claim.
- Interact with USbased practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims. Must be comfortable in AR calling and have relevant experience.
- Identify claims that need balance transfer to patient and secondary balances or appropriate financial class for further resolution.
- Should be able to track and follow up on claims within given TAT.
- Must be comfortable with other voice process as per business requirement such as patient calling.
- Completed graduation. Other formal education or training on a practice management system using patient accounting will be added advantage.
- Excellent verbal and written English communication skills for interacting with USA based team members/ physicians/vendors/patients.
- Relevant experience in a USA health care medical billing or RCM office capacity with related job duties and responsibilities.
- Must have at least 1+ yrs. experience in physician billing; specifically, chiropractic, mental health, behavioral health etc.
- Understand CMS1500 and UB04 claim formats.
- Basic knowledge of collection laws, rules, and regulations.
- Knowledge of medical billing software, preferably Tebra, Therapy Notes, Simple Practice, Theranest, ECW, Epic or any other similar.
- Experience reading and interpreting and entering insurance EOBs. Knowledge of thirdparty payer referral requirements.
Job Types:
Full-time, Permanent
Pay:
₹30, ₹45,000.00 per month
Benefits:
- Health insurance
- Provident Fund
Schedule:
- Evening shift
- Monday to Friday
- US shift
Experience:
- AR: 2 years (required)
Language:
- fluent english (required)
Shift availability:
- Night Shift (required)
- Overnight Shift (required)
Work Location:
In person
Speak with the employer
More jobs from i3synergist
-
Process Associate
Mohali, India - 2 days ago
-
Digital Marketing Expert
Mohali, Punjab, India - 3 days ago
-
Medical Coder
Mohali, India - 1 week ago
-
Payment Posting
Mohali, India - 1 week ago
-
Executive Assistant to CEO
Mohali, India - 3 days ago
-
Quality Assurance Auditor
Mohali, India - 1 week ago